HCPCS L3901

Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated

Current code24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L3901 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27	$2,064 – $2,1932 plans	$1,032	$2,580
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$2,480	$3,543
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	$1,327	$1,895
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$2,643	$3,776

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington: $2,025 (fee)